although a j-pouch coloanal anastomosis is a common type of anastomosis, a comparison with the side-to-end has not been made.

Procedure: j-pouch coloanal anastomosis

side-to-end coloanal anastomosis

in the Netherlands, the side-to-end anastomosis is the standard procedure to perform an anastomosis in case of rectal resection. therefore, the side-to-end group was our control group

Procedure: side-to-end coloanal anastomosis

Detailed Description:

Invalidating anorectal dysfunctions are common after restorative rectal surgery. Improvement of functional results by the technically more demanding J-pouch has been demonstrated in comparison with the straight coloanal anastomosis. In the present multicenter randomized trial we assessed whether the J-pouch is also superior to the side-to-end coloanal anastomosis.

Eligibility

Genders Eligible for Study:

Both

Accepts Healthy Volunteers:

No

Criteria

Inclusion Criteria:

The inclusion criteria comprised a histologically proven rectal cancer located in the middle or distal part of the rectum (≤ 10cm from the anal verge), and a WHO performance status ≤ 2.

Exclusion Criteria:

Patients with a T1 or T4 tumor were excluded

Patients diagnosed with distant metastases

A medical history of colonic resection

Anorectal surgery or chemo- radiotherapy

Pre-existing fecal incontinence grade III or IV according to Parks10

Life expectancy of less than one year.

Contacts and Locations

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Please refer to this study by its ClinicalTrials.gov identifier: NCT00956241